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HomeMy WebLinkAbout1600 OAK AVE; ; 79-4528; Permit'i;l;:1 ~ 0 (I~ ~ ·,2 MODEL NO. APPLICATION ~ -l!l I BUILDlNG PERMIT City of CARLSBAD, CALIFORNIA 92008 ~ 2LL ; Applicant to complete numbered spaces only. Phone 729-1181 Permit No. , - J08 AOOJ;I ESS ASSESSOR'S /~oo 01+-IL-PARCEL NUMBER IAT ,o. ~d -J_ I TRACT ~1t:Ctt!~HE91;). BOOK PAGE I PAR, LEGAL /0/p I /~2 1 DESCR. f),.f) 2 owrr ~ v2. ls ,~ {+l) 0P u J: Mil~;:~ -r ZIP .. ' PHOU[ (lJA{) '7~9 92-v:2.. CONTR.&.C TOR MAIL .ioOAESS . P+-tONE STATE LIC. NO, CITY LIC, NO. 3 6~c:--: AFICHITt.CT OA DESICNEA MAIL ADDRESS PHONE LICENSE NO, 4 iJo v0,.-e- ENGINEER MAIL AOOAESS PHONE LICENSE NO. 5 fn,(J -;::.( <... c COMPENSATION INS. CARRIER M"IL 11.00AESS BRANCH 6 7US£0F0~o t I ~ Pt ® $ 1_)_-~\ t) ~ C.(:;-NO. BDRMS s NO. BATHS L- I 8 Class of work: ONEW 0 AOOITION 0 ALTERATION 0 REPAIR 0 MOVE 0°REMOVE I 9 Describe work:LJ E'),l{l'J L 1 ~ ,../.- r / 10 Change of use from ') /, ._,,,.v. 1 Change of use to 11\~~ ~ /pt· I \j I PERMIT FEE s 11 Valuation of work: $ PLAN CHECK FEE $ SPECIAL CONDITIONS: MICRO FILM FEE Type o f Occupancy Const. Group Size of Bldg. No. ot Max (Total) Sq. Ft. Stories 0cc. Load -· Fire use . Fire Sprinklers AP~ ~~EPTED BY PLANS CHECKEO BY APPROVED FOR ISSUANCE BY Zone Zone Required D Yes 0 No No. of OFFSTREET PARKING SPACES: OAT~ f/,-tf Dwelling Units No. JNo. DATE Covered Sq, Ft. Open NOTICE Special Approvals Required Received Not Required SEPARATE PERMITS ARE REQUIRED FOR,ELECTRICAL, PLUMB· PLANNING DEPT. ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF FIRE DEPT. CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· MENCED. OTHER (Specify) I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS ENGINEER! NG DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HERE OR NOT, THE GRANTING OF A PERMIT DOES NOT ' PRESU AE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE ~CTI""' no THE PERFORMANCE OF CONSTRUCTION. ~ CNS OF ANY OTHER S,ATE OR LOCAL LAW REGULAT>NG · ;u A '°4r&v' -~ -1&, 71 ~) O;:T~ACf~~ ~A,~~~ (DATE I e' ,-l r;--7l 5,r.-A.l"'t,"£ OF OWNER 1 1F OWN~-"8\.J.!rn.,-•i..r (OAT[} I V ~ ( WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH TOTAL FEES$